LOTUS MOON, LLC
NPI 1295339166
In Home Supportive Care in Minnetonka, MN

Q: What is Lotus Moon, LLC's NPI number?

The NPI number for Lotus Moon, LLC is 1295339166. It was assigned to this organization in the NPPES registry on November 22, 2020. The provider is doing business as Lotus Moon.

Q: What is Lotus Moon, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lotus Moon, LLC was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2020

14667 LAKE STREET EXT, MINNETONKA, MN 55345(612) 584-0917 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lotus Moon, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOTUS MOON, LLC (NPI 1295339166), doing business as Lotus Moon, is a healthcare organization registered as an in home supportive care in Minnetonka, Minnesota and active in the NPI registry since November 2020. The organization lists Pesey M Kuoch, Owner, as its authorized official.

NPPES Registry Identity

NPI1295339166

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameLOTUS MOON, LLC

Location Address14667 LAKE STREET EXTMinnetonka, MN 55345-2926

Mailing Address15401 Lake Street ExtMinnetonka, MN 55345-1914 · (612) 535-7292

Phone(612) 584-0917

Organization SubpartNo

Authorized OfficialPesey M KuochOwner · (612) 535-7292

Enumeration DateNovember 22, 2020

NPPES CertifiedNovember 22, 2020

✔ NPI 1295339166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedMealsTaxonomy 174200000X

Also ListedLodgingTaxonomy 177F00000X

Also ListedNursing CareTaxonomy 251J00000X

14667 LAKE STREET EXT, Minnetonka, MN 55345

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Other Names 1

Doing Business AsLotus Moon

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lotus Moon, LLC's NPI number?

The NPI number for Lotus Moon, LLC is 1295339166. It was assigned to this organization in the NPPES registry on November 22, 2020. The provider is doing business as Lotus Moon.

Where is Lotus Moon, LLC located?

Lotus Moon, LLC is located at 14667 Lake Street Ext, Minnetonka, MN 55345. The listed phone number is (612) 584-0917.

What is Lotus Moon, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Lotus Moon, LLC was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.